Here are some of my favorite books that have helped me clarify my vision and marketing.
- Storybrand by Donald Miller
- Essentialism by Greg McKeown
- Aesthetic Intelligence by Pauline Brown
Here are some of my favorite books that have helped me clarify my vision and marketing.
Here’s a question that I was asked recently.
Is there a guide to know what is the most gum tissue we can remove without affecting the biological width?
If you can’t contour a lot of gum tissue away, BUT you can build a more symmetrical gingival architecture, this will be helpful for your cosmetic cases.
Pocket Depth/ Gingival Sulcus/ Periodontal Pocket
The average periodontal pocket/ probe depth is 0-3mm. This depth varies from tooth to tooth and surfaces.
When planning for laser gum contouring, the first thing to do is to get a periodontal probing of the patient as well as X-rays of the teeth.
The margin of the final restoration should be at least 2.5mm away from the crest of bone.
If the patient is anesthetized, you could sound or probe to bone to measure the gingival margin to the bone level to help assess how much gum tissue can be removed.
The margin or finish line of the final restoration should be 0.5mm below the gingival margin.
This makes me think:
If you just don’t have enough room to take away gum tissue and will be impacting the biological width, consider the following:
Again these are just guidelines. Do what’s best for your patient and do what you’re comfortable with.
Axis Bur #’s
M856-014 taper chamfer bur
M834-021 depth cutting bur
M828-026 incisal/ depth cutting bur
KS4 football/ lingual reduction
C813-014 amalgam removal/ depth cutting
SC856-T-025 big gross reduction bur
SC847KRT-016 straight gross reduction bur
The 3 most common porcelain veneer preparation designs are:
minimal prep, traditional veneer prep, or slice through contact prep for Porcelain Veneers.
We get asked the most about the interproximal area of the preps for veneers.
If you are not breaking contacts, you need to determine how and where you want the interproximal margins. I generally think halfway from buccal to lingual through the contact area can work well.
When prepping the interproximal you do not want to create undercuts otherwise seating the veneers will be more difficult.
If you do a slice prep and break the proximal contacts, make sure you maintain good draw and taper and parallelism to help with the seating of the final veneers.
3 Most Common Types of Veneer Preparation Designs
When prepping you correct minor arch form issues. WIth this Preparation you do not open the proximal contacts while prepping. There are thin finish lines and margins. Best for cases where you plan to be adding volume to the incisal edges and to the facial thickness. Mostly used when the Veneers are additive to add volume.
Requires Adequate reduction on the Facial and incisal. This type of Veneer Preparation you do not break or opening proximal contacts
This is when you slice through the proximal contacts or open the proximal contacts. Recommended for cases where you have the following: Overlapped teeth, interproximal decay, interproximal fillings, closing diastemas, black triangle closure, or moving tooth positions.
Reference for when to open contacts when prepping for porcelain veneers
If you’re wanting to learn more about smile design, veneers, and cosmetic dentistry, check out our online aesthetic dentistry and smile makeover courses at https://drtejaspatel.podia.com
The Veneer Masterclass shows you how 3 smile makeovers were completed from start to finish to help give you the confidence to do more veneer cases.
Case #1
Learn how to use porcelain veneers to improve the size, shape, & color of the teeth and how to improve the midline, cant and fullness of a smile.
Case #2
Learn how to use porcelain veneers to improve the size, color, and symmetry of the teeth and how to improve a gummy smile with laser gum contouring.
Case #3
Learn how to use porcelain veneers to improve the size, color and alignment of the teeth to get a more symmetrical, straighter, whiter, and fuller smile.
If you’re wanting to learn how to do veneers, do more cosmetic dentistry, smile makeovers and grow your practice, enroll in our online veneer course for dentists at https://drtejaspatel.podia.com
Here’s a list of everything you need to know about the Veneer Masterclass. This Masterclass is the comprehensive course that will help you take your cosmetic dentistry skills and your porcelain veneer cases to the next level.
The goals of this course are to help you:
As you can see this course is jam-packed! Top Cosmetic Dentist, Dr. Tejas Patel has distilled years of practical and clinical knowledge into a few hours.
If you do just one veneer case after taking this course, it will have more than paid for itself.
Plus, right now the public demand and expectations for veneers is at an all time high.
Now is the time to learn how to get consistent results with your veneer cases and improve the cosmetic dental care that you provide to your patients.
If you’re wanting to learn how to do veneers, do more cosmetic dentistry, and grow your practice, check out our online veneer masterclass and smile makeover courses at https://drtejaspatel.podia.com
There are many ways dentists can improve a smile with cosmetic dentistry treatments. Here are 10 of the most common treatment options when considering how to improve a smile.
Everyone is different, and there is a different solution for each person. Sometimes, the solution that is best for your patient may be a combination of the treatments listed above. Always help your patients make an informed decision by explaining each of their options. As their cosmetic dentist, make sure that you understand all of the options available.
If you’re wanting to learn more about case presentation, treatment planning and patient communication, check out our online cosmetic dentistry and online veneer courses for dentists at https://drtejaspatel.podia.com
Designing a smile that your patient is happy with is one of the main goals of cosmetic dentistry. Being able to meet and exceed their expectations is key.
Take the time to plan your smile makeover cases. Get wax-ups done to help prepare for your cases and to design beautiful temporaries for you and your patient to review.
Here are my top 10 things that I take into consideration when designing a smile makeover using porcelain veneers.
SMILE DESIGN PRINCIPLES
If you’re wanting to learn more about smile design, veneers, and cosmetic dentistry, check out our online aesthetic dentistry and smile makeover courses at https://drtejaspatel.podia.com
Our patient presented crooked and overlapped front teeth and decalcification and discoloration and stain on their teeth. Patient tried whitening and and was unhappy with their smile and wanted a brighter, more symmetrical and better smile.
Treatment plan
Special considerations
With the discoloration making sure to be able to block out the prep shade so the veneers have to be prepped and designed sufficiently to ensure longevity and success.
Steps for success
Procedure learning points
At her post op after the veneer’s cementation, the canines were uneven and too long. I shortened and reduced the incisal edges/ cusp tips of the canines to make the smile look less like a reverse smile. I had to adjust the porcelain to make the smile more symmetrical.
Teeth were minimally prepared for porcelain veneers but I should have made #9 a full coverage to facilitate the design and seating of the restorations or opened the mesial proximal contact area more.
With the discoloration we used a brighter shade for the veneer cement to block out the undertone of the prep shade.
Porcelain Veneers Details
We did Emax porcelain veneers shade HTBL1 with a bleach shade calibra veneer cement.
If you’re interested in learning how to do more porcelain veneer cases, check out our online cosmetic dentistry courses and resources at https://drtejaspatel.podia.com/
Case #3 images.
Close up Retracted photos were taken immediately after seating the restorations. Gums will heal.
Patient presented with prior Orthodontic treatment and whitening and was still unhappy with their smile and wanted a brighter, more symmetrical, broader, fuller and less gummy smile.
Treatment plan
Special considerations
With the history of wear making sure the veneers are prepped and designed sufficiently to ensure longevity and success. Also needed to create a more level smile and improve the cant of the smile and gumline.
Steps for success
Procedure learning points
Patient felt the temps were a bit too long. She was used to the original size of her teeth. We discussed tooth proportions.
Patient preferred more pointy canines than what she saw in temps.
Teeth were minimally prepared for porcelain veneers but I should have opened the proximal contact between the centrals to close the black triangle or gap at the gingival embrassure.
I may go back and add composite from the lingual to close that space more or even redo the 2 centrals.
Porcelain Veneers Details
We did Emax porcelain veneers shade HTBL1 with a bleach shade calibra veneer cement.
If you’re interested in learning how to do more porcelain veneer cases, check out our online cosmetic dentistry courses and resources at https://drtejaspatel.podia.com/
Case #2 images.
In this free training webinar, top cosmetic dentist, Dr. Tejas Patel discusses the 4 biggest mistakes dentists make when doing veneers. He also discusses how to avoid these mistakes so you can do more veneers.